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RESEARCH ARTICLE

The strategic development of the NSW Health Plan for Prevention of Falls and Harm from Falls Among Older People: 2011–2015; translating research into policy and practice

Andrew J. Milat A E , Claire Monger B , Joanne Smith B , Adrian Bauman C , Sally Redman D and Brendan Goodger B
+ Author Affiliations
- Author Affiliations

A The Sax Institute (formerlyB)

B Centre for Health Advancement, NSW Department of Health

C School of Public Health, The University of Sydney

D The Sax Institute

E Corresponding author. Email: andrew.milat@saxinstitute.org.au

NSW Public Health Bulletin 22(4) 73-77 https://doi.org/10.1071/NB10057
Published: 2 June 2011

Abstract

With our rapidly ageing population there is an urgent imperative to minimise the rate of falls and associated injuries. A key challenge to public health is to better conceptualise and contextualise falls prevention evidence for more effective policy making and practice. This paper describes how NSW Health adopted the Nutbeam and Bauman Stages of Research and Evaluation Model in the strategic development of the NSW Health Plan for Prevention of Falls and Harm from Falls Among Older People: 2011–2015. Research evidence has been comprehensively applied to every stage of the development of the Plan and research and evaluation is a key action area within the new Plan. The Stages of Research and Evaluation Model provides a useful overarching framework for policy makers to contextualise and more effectively apply research evidence throughout the policy making process from problem definition to program monitoring.


References

[1]  Australia Government Treasury. Intergenerational Report 2010. Commonwealth of Australia: Canberra; 2010.

[2]  Dobrow MJ, Goel V, Upshur RE. Evidence-based health policy: context and utilisation. Soc Sci Med 2004; 58 207–17.
Evidence-based health policy: context and utilisation.Crossref | GoogleScholarGoogle Scholar | 14572932PubMed |

[3]  Hanney SR, Gonzalez-Block MA, Buxton MJ, Kogan M. The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst 2003; 1 2
The utilisation of health research in policy-making: concepts, examples and methods of assessment.Crossref | GoogleScholarGoogle Scholar | 12646071PubMed |

[4]  Innvaer S, Vist G, Trommald M, Oxman A. Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy 2002; 7 239–44.
Health policy-makers' perceptions of their use of evidence: a systematic review.Crossref | GoogleScholarGoogle Scholar | 12425783PubMed |

[5]  Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy 2005; 10 6–20.
Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field.Crossref | GoogleScholarGoogle Scholar | 16053580PubMed |

[6]  Nutbeam D. Improving the fit between research and practice in health promotion: overcoming structural barriers. Can J Public Health 1996; 87 S18–23.
| 9002338PubMed |

[7]  Brownson RC, Gurney JG, Land GH. Evidence based decision making in public health. J Public Health Manag Pract 1999; 5 86–97.
| 1:STN:280:DyaK1Mvhs1KktA%3D%3D&md5=bbc71789dcc89a3e61cded205c053278CAS | 10558389PubMed |

[8]  Elliott H, Popay J. How are policy makers using evidence? Models of research utilisation and local NHS policy making. J Epidemiol Community Health 2000; 54 461–8.
How are policy makers using evidence? Models of research utilisation and local NHS policy making.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c3nvF2ksw%3D%3D&md5=edd7b1c589fb68a6550fafd7e1421f04CAS | 10818123PubMed |

[9]  Black N. Evidence based policy: proceed with care. BMJ 2001; 323 275–9.
Evidence based policy: proceed with care.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MvjvFyjtw%3D%3D&md5=b13927b2dd26a731bf47ecb46bf7b57dCAS | 11485961PubMed |

[10]  Campbell DM, Redman S, Jorm L, Cooke M, Zwi AB, Rychetnik L. Increasing the use of evidence in health policy: practice and views of policy makers and researchers. Aust New Zealand Health Policy 2009; 6 21
Increasing the use of evidence in health policy: practice and views of policy makers and researchers.Crossref | GoogleScholarGoogle Scholar | 19698186PubMed |

[11]  Bowen S, Zwi A. Pathways to ‘evidence-informed’ policy and practice: a framework for action. PLoS Med 2005; 2 e166
Pathways to ‘evidence-informed’ policy and practice: a framework for action.Crossref | GoogleScholarGoogle Scholar | 15913387PubMed |

[12]  Nutbeam D, Bauman A. Evaluation in nutshell – A practical guide to the evaluation of health promotion programs. Sydney: McGraw-Hill; 2006.

[13]  NSW Department of Health. NSW Health Plan for Prevention of Falls and Harm from Falls Among Older People: 2011–2015. North Sydney: NSW Department of Health; 2011.

[14]  Watson W, Clapperton A. The incidence and cost of falls injury in New South Wales 2006/07 – A Report to NSW Health. Kensington: NSW Injury Risk Management Research Centre; 2010.

[15]  Watson W. Evaluation Report: Implementation of the NSW State Falls Management Policy. Kensington: NSW Injury Risk Management Research Centre; 2009.

[16]  Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT. Effective approaches to exercise in the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc 2008; 56 2234–43.
Effective approaches to exercise in the prevention of falls: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar | 19093923PubMed |

[17]  The Miller Group. Three Year Physical Activity Action Plan for Older People in NSW. Unpublished report; 2010.

[18]  Sherrington C, Lord S, Close JCT. Best Practice Recommendations for physical activity to prevent falls in older adults. North Sydney: NSW Department of Health; 2008.

[19]  Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009; 15 CD007146 .

[20]  Sherrington C, Lord S, Close J, Mikolaizak S. Characteristics of NSW Area Health Service Physical Activity Falls Prevention Programs. Sydney: The George Institute for International Health and the Prince of Wales Medical Research Institute; 2009.

[21]  Church J, Goodall S, Norman R, Haas M. An economic evaluation of community and residential aged care falls prevention strategies in NSW. Sydney: Centre for Health Economic Research and Evaluation; 2010.

[22]  Consultants TNS. Research Report to inform the development of social marketing activity supporting falls prevention among older people. Unpublished report; 2010.

[23]  Donovan RJ, Henley N. Social Marketing: Principles and Practices. Sydney: IP Publishing; 2003.

[24]  Australian Commission on Safety and Quality in Health Care (ACSQHC). Preventing Falls and Harm from Falls In Older People: Best Practice Guidelines For Australian Hospitals, Residential Aged Care Facilities And Community Care. Canberra: Commonwealth of Australia; 2009

[25]  NSW Department of Health. NSW Health Promotion Demonstration Research Grants Scheme. Available from: http://www.health.nsw.gov.au/publichealth/healthpromotion/grants/index.asp (Cited May 2010.)

[26]  Voukelatos A, Rissel C, Cumming R, Lord S. The Central Sydney Tai Chi Trial: a randomised controlled trial of the effectiveness of tai chi in reducing the risk of falls in older people. Sydney: NSW Department of Health; 2006.

[27]  Dean C, Rissel C, Sharkey M, Sherrington C, Cumming R, Merom D. Exercise intervention to prevent falls, enhance mobility and increase physical activity in community dwellers after stroke: a randomised controlled trial. Available from: http://www.health.nsw.gov.au/publichealth/healthpromotion/grants/funding2006.asp#cim_main-content (Cited July 2010.)

[28]  Voukelatos A, Merom D, Sherrington C, Watson W, Rissel C. The Walking and Falls Study: a randomised controlled trial investigating the effectiveness of a 12-month self-paced walking program in reducing the risk of falling in older people. Available from: http://www.health.nsw.gov.au/publichealth/healthpromotion/grants/funding2008.asp#para_0 (Cited July 2010.)

[29]  Ward J, Harden M, Gibson R, Byles J. Prevention of falls in Residential Aged Care. North Sydney: NSW Department of Health; 2009.

[30]  North Coast Public Health Unit. Stay on your feet report. North Sydney: NSW Department of Health; 1992.

[31]  Robertson MC, Gardner MM, Devlin N, McGee R, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres. BMJ 2001; 322 701–4.
Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M7ms1aisQ%3D%3D&md5=058d0a8901f97804dbdfce7e8603124eCAS | 11264207PubMed |

[32]  Ambulance Service of NSW. Epidemiology of fallers who access health care through triple zero – a research proposal. Ambulance Service of NSW. Unpublished report; 2009.

[33]  Clemson L, Cumming RG, Kendig H, Swann M, Heard R, Taylor K. The effectiveness of a community-based program for reducing the incidence of falls in the elderly: a randomized trial. J Am Geriatr Soc 2004; 52 1487–94.
The effectiveness of a community-based program for reducing the incidence of falls in the elderly: a randomized trial.Crossref | GoogleScholarGoogle Scholar | 15341550PubMed |

[34]  Watson W. Draft Evaluation framework for NSW Health Plan for the Prevention of Falls and Harm from Falls, 2011–2015. Kensington: IRMRC; Unpublished report; 2011.

[35]  Centre for Health Advancement and Centre for Epidemiology and Research. New South Wales Falls Prevention Baseline Survey: 2009 Report. North Sydney: NSW Department of Health; 2010.

[36]  Bauman A, Chau J, Macniven R. Physical activity measurement related to falls prevention. Unpublished report; 2009.

[37]  The Sax Institute. About the 45 and Up Study. Available from: http://www.45andup.org.au/ (Cited July 2010.)

[38]  About the Centre for Health Record Linkage. Available from: http://www.cherel.org.au/ (Cited July 2010.)